Downhill esophageal varices associated with superior vena cava syndrome – A case report
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/33003 |
Resumo: | Objective: Esophageal varices are an important cause of digestive bleeding, with uphill varices secondary to portal hypertension being the most common cause. Downhill esophageal varices are rare, are related to superior vena cava obstruction, and require investigation as to their etiology, as appropriate treatment is related to the underlying cause and is essential to reduce the risk of complications. Methodology: A review of the patient's chart was carried out, as well as an extensive literature search on downhill esophageal varices, with a detailed study of their etiology, pathophysiology, diagnosis, and treatment. The correlations between the case and the findings in the literature are also presented. Case report: A 52-year-old patient presented with clinical manifestations of superior vena cava syndrome and endoscopic findings of downhill esophageal varices. A complementary investigation with computed tomography of the chest was performed, and chronic thrombosis of the superior vena cava with extensive collateral circulation was diagnosed. The investigation of thrombophilia was negative, and the etiology of the thrombosis was defined as idiopathic. Conclusion: The importance of recognizing, diagnosing downhill esophageal varices, and understanding their pathophysiology for adequate etiological investigation and early treatment, as well as reducing the risks of gastrointestinal bleeding, are highlighted in this case. |
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Downhill esophageal varices associated with superior vena cava syndrome – A case report Várices esofágicas descendentes asociadas a síndrome de la vena cava superior – Reporte de un casoVarizes esofágicas descendentes associadas à síndrome de veia cava superior – Relato de casoSíndrome de la Vena Cava SuperiorVárices esofágicasHemorragia gastrointestinalInforme de caso.Síndrome da Veia Cava SuperiorVarizes esofágicasHemorragia gastrintestinalRelato de caso.Superior Vena Cava SyndromeEsophageal varicesGastrointestinal hemorrhageCase report. Objective: Esophageal varices are an important cause of digestive bleeding, with uphill varices secondary to portal hypertension being the most common cause. Downhill esophageal varices are rare, are related to superior vena cava obstruction, and require investigation as to their etiology, as appropriate treatment is related to the underlying cause and is essential to reduce the risk of complications. Methodology: A review of the patient's chart was carried out, as well as an extensive literature search on downhill esophageal varices, with a detailed study of their etiology, pathophysiology, diagnosis, and treatment. The correlations between the case and the findings in the literature are also presented. Case report: A 52-year-old patient presented with clinical manifestations of superior vena cava syndrome and endoscopic findings of downhill esophageal varices. A complementary investigation with computed tomography of the chest was performed, and chronic thrombosis of the superior vena cava with extensive collateral circulation was diagnosed. The investigation of thrombophilia was negative, and the etiology of the thrombosis was defined as idiopathic. Conclusion: The importance of recognizing, diagnosing downhill esophageal varices, and understanding their pathophysiology for adequate etiological investigation and early treatment, as well as reducing the risks of gastrointestinal bleeding, are highlighted in this case.Objetivo: Las várices esofágicas son una causa importante de sangrado digestivo, siendo las várices ascendentes secundarias a hipertensión portal las más frecuentes. Las venas varicosas descendentes son raras, están relacionadas con la obstrucción de la vena cava superior y requieren investigación en cuanto a su etiología, ya que el tratamiento adecuado está relacionado con la causa subyacente y es fundamental para reducir el riesgo de complicaciones. Metodología: Se realizó una revisión del prontuario del paciente, así como una extensa investigación bibliográfica sobre las várices esofágicas descendentes, con un estudio profundo de su etiología, fisiopatología, prevalencia, diagnóstico y tratamiento. Caso clínico: Paciente de 52 años con cuadro clínico de síndrome de la vena cava superior y hallazgos endoscópicos de várices esofágicas descendentes. Se realizó estudio complementario con tomografía computarizada de tórax y se diagnosticó trombosis crónica de la vena cava superior con circulación colateral extensa. La investigación de los trastornos de hipercoagulabilidad fue negativa y la etiología de la trombosis se definió como idiopática. Conclusión: En este caso, se destaca la importancia del reconocimiento, diagnóstico de las várices esofágicas descendentes y el conocimiento de su fisiopatología para una adecuada investigación etiológica y tratamiento precoz, reduciendo los riesgos de hemorragia digestiva.Objetivo: As varizes esofágicas são importante causa de sangramento digestivo, sendo as varizes ascendentes, secundárias à hipertensão portal, as mais comuns. As varizes descendentes são raras, estão relacionadas à obstrução da veia cava superior e necessitam de investigação quanto à sua etiologia, uma vez que o tratamento apropriado está relacionado à causa de base e é fundamental para reduzir o risco de complicações. Metodologia: Realizado revisão do prontuário do paciente, bem como extensa pesquisa bibliográfica sobre as varizes esofágicas descendentes, com estudo aprofundado da sua etiologia, fisiopatologia, diagnóstico e tratamento, bem como correlação dos achados na literatura com o caso apresentado. Relato de caso: Paciente de 52 anos com manifestações clínicas da síndrome de veia cava superior e achados endoscópicos de varizes esofágicas descendentes. Realizada investigação complementar com tomografia computadorizada de tórax e diagnosticada trombose crônica da veia cava superior com extensa circulação colateral. A investigação de trombofilias foi negativa, sendo a etiologia da trombose definida como idiopática. Conclusão: Ressalta-se neste caso a importância do reconhecimento, diagnóstico das varizes esofágicas descendentes e compreensão da sua fisiopatologia para adequada investigação etiológica e tratamento precoce, reduzindo os riscos de hemorragia digestiva. Research, Society and Development2022-08-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3300310.33448/rsd-v11i10.33003Research, Society and Development; Vol. 11 No. 10; e438111033003Research, Society and Development; Vol. 11 Núm. 10; e438111033003Research, Society and Development; v. 11 n. 10; e4381110330032525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/33003/27948Copyright (c) 2022 Mariana Almeida Hein; Danielle Duarte Silva; Otávio Romanini Lopes; Matheus Soares Braga ; Anderson Lubito Simoni; Bruno Doriguetto Couto Ferreira; Luís Ronan M. F. de Souza; Geisa Perez Medina Gomide; Ana Flávia Carrijo Chiovatohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessHein, Mariana Almeida Silva, Danielle Duarte Lopes, Otávio Romanini Braga , Matheus Soares Simoni, Anderson Lubito Ferreira, Bruno Doriguetto Couto Souza, Luís Ronan M. F. de Gomide, Geisa Perez Medina Chiovato, Ana Flávia Carrijo 2022-08-12T22:23:03Zoai:ojs.pkp.sfu.ca:article/33003Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:48:47.534040Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Downhill esophageal varices associated with superior vena cava syndrome – A case report Várices esofágicas descendentes asociadas a síndrome de la vena cava superior – Reporte de un caso Varizes esofágicas descendentes associadas à síndrome de veia cava superior – Relato de caso |
title |
Downhill esophageal varices associated with superior vena cava syndrome – A case report |
spellingShingle |
Downhill esophageal varices associated with superior vena cava syndrome – A case report Hein, Mariana Almeida Síndrome de la Vena Cava Superior Várices esofágicas Hemorragia gastrointestinal Informe de caso. Síndrome da Veia Cava Superior Varizes esofágicas Hemorragia gastrintestinal Relato de caso. Superior Vena Cava Syndrome Esophageal varices Gastrointestinal hemorrhage Case report. |
title_short |
Downhill esophageal varices associated with superior vena cava syndrome – A case report |
title_full |
Downhill esophageal varices associated with superior vena cava syndrome – A case report |
title_fullStr |
Downhill esophageal varices associated with superior vena cava syndrome – A case report |
title_full_unstemmed |
Downhill esophageal varices associated with superior vena cava syndrome – A case report |
title_sort |
Downhill esophageal varices associated with superior vena cava syndrome – A case report |
author |
Hein, Mariana Almeida |
author_facet |
Hein, Mariana Almeida Silva, Danielle Duarte Lopes, Otávio Romanini Braga , Matheus Soares Simoni, Anderson Lubito Ferreira, Bruno Doriguetto Couto Souza, Luís Ronan M. F. de Gomide, Geisa Perez Medina Chiovato, Ana Flávia Carrijo |
author_role |
author |
author2 |
Silva, Danielle Duarte Lopes, Otávio Romanini Braga , Matheus Soares Simoni, Anderson Lubito Ferreira, Bruno Doriguetto Couto Souza, Luís Ronan M. F. de Gomide, Geisa Perez Medina Chiovato, Ana Flávia Carrijo |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Hein, Mariana Almeida Silva, Danielle Duarte Lopes, Otávio Romanini Braga , Matheus Soares Simoni, Anderson Lubito Ferreira, Bruno Doriguetto Couto Souza, Luís Ronan M. F. de Gomide, Geisa Perez Medina Chiovato, Ana Flávia Carrijo |
dc.subject.por.fl_str_mv |
Síndrome de la Vena Cava Superior Várices esofágicas Hemorragia gastrointestinal Informe de caso. Síndrome da Veia Cava Superior Varizes esofágicas Hemorragia gastrintestinal Relato de caso. Superior Vena Cava Syndrome Esophageal varices Gastrointestinal hemorrhage Case report. |
topic |
Síndrome de la Vena Cava Superior Várices esofágicas Hemorragia gastrointestinal Informe de caso. Síndrome da Veia Cava Superior Varizes esofágicas Hemorragia gastrintestinal Relato de caso. Superior Vena Cava Syndrome Esophageal varices Gastrointestinal hemorrhage Case report. |
description |
Objective: Esophageal varices are an important cause of digestive bleeding, with uphill varices secondary to portal hypertension being the most common cause. Downhill esophageal varices are rare, are related to superior vena cava obstruction, and require investigation as to their etiology, as appropriate treatment is related to the underlying cause and is essential to reduce the risk of complications. Methodology: A review of the patient's chart was carried out, as well as an extensive literature search on downhill esophageal varices, with a detailed study of their etiology, pathophysiology, diagnosis, and treatment. The correlations between the case and the findings in the literature are also presented. Case report: A 52-year-old patient presented with clinical manifestations of superior vena cava syndrome and endoscopic findings of downhill esophageal varices. A complementary investigation with computed tomography of the chest was performed, and chronic thrombosis of the superior vena cava with extensive collateral circulation was diagnosed. The investigation of thrombophilia was negative, and the etiology of the thrombosis was defined as idiopathic. Conclusion: The importance of recognizing, diagnosing downhill esophageal varices, and understanding their pathophysiology for adequate etiological investigation and early treatment, as well as reducing the risks of gastrointestinal bleeding, are highlighted in this case. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-08-06 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/33003 10.33448/rsd-v11i10.33003 |
url |
https://rsdjournal.org/index.php/rsd/article/view/33003 |
identifier_str_mv |
10.33448/rsd-v11i10.33003 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/33003/27948 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 10; e438111033003 Research, Society and Development; Vol. 11 Núm. 10; e438111033003 Research, Society and Development; v. 11 n. 10; e438111033003 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052769930051584 |